patient blood management collaborative the act …...national patient blood management collaborative...
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National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
Patient Blood Management Collaborative The ACT Experience
Maria Burgess, Project Co-ordinator Presentation to the NPBMC Showcase Friday 2 June 2017
National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
Canberra Hospital has taken a Territory wide approach to PBM with the support of :
• Calvary Bruce Public Hospital (CHC)
• Calvary John James Hospital (CJJH)
• GP Liaison/Capital Health Network (CHN)
National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
Barriers
• Tight turn around times prior to theatre
• 2016 elective surgery Blitz
• Multiple anaesthetists (>40)
• Bloods ordered at time of review
• Documentation of assessment of pathology results
National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
• PBM Key stakeholder group champions at CHHS, Calvary and Calvary John James hospitals
• Standard 7 – Accreditation
• National PBM Guidelines
• Synergy with other ACT Health PBM initiatives – Single unit policy – Detection of iron deficiency in obstetrics project – Standard 7 Committee at CHHS – PBM Committee at Calvary
National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
• 2016 Canberra Iron Symposium:
• Establishment of a “ ” to provide IV Iron and both CHHS and Calvary (HITH)
• Improving Communication with GPs regarding services to support PBM – Health Pathways – GP HealthNet
• Increased awareness of anaesthetics assessment including PBM, high risk patients
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National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
Achievements No. RBC Packs
Module 2 PBM Guidelines 15000 Published 2012
14000
13000
12000
11000
10000
9000
8000
ACT RBC Issues 13965
NSQHS Standard 7 2003 - 2017 13344 12971
Published October 2012
12275 1231612168
11735
12535
‐7.1%
+4.5% National PBM
11181 11328 11421
10944
+6.5% Collaborative 2015-2017
‐11.9% 10570 Projected
(9760) ‐4.8%
‐3.4 %
-7.7%
2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 2015-16 2016-17
30% Reduction in RBC issues since 2011 12
National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
Conclusion
The key learning in implementing this QI process? Benefits of using PDSA Methodology in combination with other change management principles to test changes before full implementation.
Key message for other Health Services for PBM? Identify your champions to advocate and support processes -they play a critical role. Champions will translate the vision to their colleagues and drive key discussions where we may not previous influence.
How the Collaborative made a difference to your hospital and your patients Quality Improvement is driving policy, not policy limiting improvement
National Patient Blood Management Collaborative held on 2 June 2017 - Presentations from Session 2
Thank you and Acknowledgements Prof Peter Collignon (Executive Sponsor) Dr Philip Crispin (Haematologist ) Dr Jill Van Acker (Anaesthetist) Dr Tanya Robertson (GP Liaison) Dr Andrew Watson (Anaesthetist) Mr Andrew Mead (DON) Ms Cathy Burns (ADON) Ms Belinda Connors (RN) Ms Kathleen Robson (CNC) Ms Savi Lecamwasam (EN) Haematology Outpatients Department HITH Infusion Service Calvary Hospital Capital Health Network Preadmission Clinic Staff at CHHS CJJH,CHC
SHOWCASE - Friday 2 June 2017